Jose Manuel Marcal Jr, MD - Medicare Gastroenterology in Stoneham, MA

Jose Manuel Marcal Jr, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Stoneham, Massachusetts. He went to Columbia University College Of Physicians And Surgeons and graduated in 1976 and has 48 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Digestive Health Associates P.c. and his current practice location is 3 Woodland Rd, Suite 306, Stoneham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 665-3380.

Jose Manuel Marcal Jr is licensed to practice in Massachusetts (license number 49328) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538116223.

Contact Information

Jose Manuel Marcal Jr, MD
3 Woodland Rd, Suite 306,
Stoneham, MA 02180-1702
(781) 665-3380
(781) 665-4162

Map and Direction




Physician's Profile

Full NameJose Manuel Marcal Jr
GenderMale
SpecialityGastroenterology
Experience48 Years
Location3 Woodland Rd, Stoneham, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jose Manuel Marcal Jr attended and graduated from Columbia University College Of Physicians And Surgeons in 1976
  NPI Data:
  • NPI Number: 1538116223
  • Provider Enumeration Date: 05/28/2006
  • Last Update Date: 11/06/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4789617945
  • Enrollment ID: I20050917000020

Medical Identifiers

Medical identifiers for Jose Manuel Marcal Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538116223NPI-NPPES
700560OtherMDTUFTS HEALTH PLAN
B00083OtherMABLUE CROSS & BLUE SHIELD
30031OtherMAHARVARD PILGRIM HEALTH
0191558MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 49328 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winchester HospitalWinchester, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Digestive Health Associates P.c.85270172688

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jose Manuel Marcal Jr allows following entities to bill medicare on his behalf.
Entity NameDigestive Health Associates P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941733
PECOS PAC ID: 8527017268
Enrollment ID: O20050119001023
Entity NameDha Endoscopy Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1730113325
PECOS PAC ID: 4082614979
Enrollment ID: O20061227000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jose Manuel Marcal Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jose Manuel Marcal Jr, MD
91 Montvale Ave,
Stoneham, MA 02180-3623

Ph: (781) 438-5565
Jose Manuel Marcal Jr, MD
3 Woodland Rd, Suite 306,
Stoneham, MA 02180-1702

Ph: (781) 665-3380

Reviews and Comments


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Tan Diem Pham, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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